<link rel="stylesheet" href="<?=style_url('formrfd');?>">

<div>

	<table cellpadding="0" cellspacing="2">
		<tr>
			<td class="id_picture">
				logo
			</td>
			<td class="title">
				<p style="font-size:20px; font-weight:bold;"><?=$school_name;?></p>
				<p style="font-size:12;"><?=$school_address;?></p>
			</td>
		</tr>
	</table>

</div>

<div>

	<table cellpadding="0" cellspacing="2">
		<tr>
			<td class="title">
				<p style="font-size:20px; font-weight:bold;">REQUEST FOR DISBURSEMENT FORM (RFD)</p>
			</td>
		</tr>
	</table>

</div>
<p>&nbsp;</p>
<div>

	<table cellpadding="0" cellspacing="2">
		<tr>
			<td>Department:</td>
			<td style="width:100;" class="underline">&nbsp;</td>
			<td style="width:470;">&nbsp;</td>
			<td>Date:</td>
			<td style="width:100;" class="underline">&nbsp;</td>
		</tr>
	</table>
	<table cellpadding="0" cellspacing="2">
		<tr>
			<td>Payment For:</td>
			<td style="width:510;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&nbsp;&nbsp;] Employee's C.A./Loan&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&nbsp;&nbsp;] Club&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&nbsp;&nbsp;] Gov't Agencies&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&nbsp;&nbsp;] Refund&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&nbsp;&nbsp;] Vendor's Billing&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</td>
			<td>[&nbsp;&nbsp;] Others:</td>
			<td style="width:100;" class="underline">&nbsp;</td>
		</tr>
	</table>
	<table cellpadding="0" cellspacing="2">
		<tr>
			<td>Payment Mode:</td>
			<td style="width:160; text-align:center;">[&nbsp;&nbsp;] PETTY CASH FUND</td>
			<td style="width:160;  text-align:center;">[&nbsp;&nbsp;] CHECK</td>
			<td style="width:170;">[&nbsp;&nbsp;] CREDIT TO ACCOUNT</td>
			<td style="width:100;">&nbsp;</td>
		</tr>
	</table>
	<table cellpadding="0" cellspacing="2">
		<tr>
			<td>Payable to / Credit to:</td>
			<td style="width:370;" class="underline">&nbsp;</td>
			<td style="width:260; font-size:9px; font-style:italic;">Computation/s if any:</td>
		</tr>
	</table>
	<table cellpadding="0" cellspacing="2">
		<tr>
			<td>Amount in Words:</td>
			<td style="width:380;" class="underline">&nbsp;</td>
			<td style="width:260; padding:0px 0px 0px 2px;" rowspan="5"><table style="border: dotted; border-color: #000; border-width: 2px; width:260px;" cellpadding="0" cellspacing="0"><tr><td style="width:165px;">&nbsp;</td></tr><tr><td>&nbsp;</td></tr><tr><td>&nbsp;</td></tr><tr><td>&nbsp;</td></tr><tr><td>&nbsp;</td></tr><tr><td>&nbsp;</td></tr><tr><td>&nbsp;</td></tr><tr><td>&nbsp;</td></tr><tr><td>&nbsp;</td></tr><tr><td>&nbsp;</td></tr></table></td>
		</tr>
		<tr>
			<td>&nbsp;</td>
			<td class="underline">&nbsp;</td>
		</tr>
		<tr>
			<td>Amount in Figure:</td>
			<td>Php <span style="text-decoration:underline;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
		</tr>
		<tr>
			<td style="text-align:right;">Details:&nbsp;</td>
			<td>&nbsp;</td>
		</tr>
		<tr>
			<td colspan="2">
				<table cellpadding="0" cellspacing="2" style="padding:0px; margin:0px; width:465px;">
					<tr>
						<td style="width:53;">&nbsp;</td>
						<td class="underline">&nbsp;</td>
					</tr>
					<tr>
						<td>&nbsp;</td>
						<td class="underline">&nbsp;</td>
					</tr>
					<tr>
						<td>&nbsp;</td>
						<td class="underline">&nbsp;</td>
					</tr>
					<tr>
						<td>&nbsp;</td>
						<td class="underline">&nbsp;</td>
					</tr>
				</table>
			</td>
		</tr>
	</table>
	<table cellpadding="0" cellspacing="2">
		<tr>
			<td style="font-size:10px;">Requested by:</td>
			<td style="width:124;" class="underline">&nbsp;</td>
			<td style="font-size:10px;">&nbsp;Noted by:</td>
			<td style="width:124;" class="underline">&nbsp;</td>
			<td style="font-size:10px;">&nbsp;Approved by:</td>
			<td style="width:124;" class="underline">&nbsp;</td>
			<td style="font-size:10px;">&nbsp;Received by:</td>
			<td style="width:124;" class="underline">&nbsp;</td>
		</tr>
		<tr>
			<td>&nbsp;</td>
			<td style="font-size:7px;">Signature Over Printed Name/Date</td>
			<td>&nbsp;</td>
			<td style="font-size:7px;">Signature Over Printed Name/Date</td>
			<td>&nbsp;</td>
			<td style="font-size:7px;">Signature Over Printed Name/Date</td>
			<td>&nbsp;</td>
			<td style="font-size:7px;">Signature Over Printed Name/Date</td>
		</tr>
	</table>
	<table style="border-bottom: #000 1px dashed; height:1px;" cellpadding="0" cellspacing="2"><tr><td></td></tr></table>
	<table cellpadding="0" cellspacing="2">
		<tr>
			<td style="font-size:10px; font-weight:bold;">For Accounting Use Only:</td>
		</tr>
	</table>
	<table cellpadding="0" cellspacing="2" style="width:737px;">
		<tr>
			<td>
				<table style="border:#000 1px solid;" cellpadding="2" cellspacing="0">
					<tr><td style="border:#000 1px solid;font-weight:bold; text-align:center; width:300px;">ACCOUNT CODE</td><td style="border-top:#000 1px solid; border-right:#000 1px solid; border-bottom:#000 1px solid; font-weight:bold; text-align:center; width:150px;">DEBIT</td><td style="border-top:#000 1px solid; border-right:#000 1px solid; border-bottom:#000 1px solid; font-weight:bold; text-align:center; width:150px;">CREDIT</td></tr>
					<tr><td style="border-right:#000 1px solid; border-bottom:#000 1px solid; border-left:#000 1px solid;">&nbsp;</td><td style="border-right:#000 1px solid; border-bottom:#000 1px solid;">&nbsp;</td><td style="border-right:#000 1px solid; border-bottom:#000 1px solid;">&nbsp;</td></tr>
					<tr><td style="border-right:#000 1px solid; border-bottom:#000 1px solid; border-left:#000 1px solid;">&nbsp;</td><td style="border-right:#000 1px solid; border-bottom:#000 1px solid;">&nbsp;</td><td style="border-right:#000 1px solid; border-bottom:#000 1px solid;">&nbsp;</td></tr>
					<tr><td style="border-right:#000 1px solid; border-bottom:#000 1px solid; border-left:#000 1px solid;">&nbsp;</td><td style="border-right:#000 1px solid; border-bottom:#000 1px solid;">&nbsp;</td><td style="border-right:#000 1px solid; border-bottom:#000 1px solid;">&nbsp;</td></tr>
					<tr><td style="border-right:#000 1px solid; border-bottom:#000 1px solid; border-left:#000 1px solid;">&nbsp;</td><td style="border-right:#000 1px solid; border-bottom:#000 1px solid;">&nbsp;</td><td style="border-right:#000 1px solid; border-bottom:#000 1px solid;">&nbsp;</td></tr>
					<tr><td style="border-right:#000 1px solid; border-bottom:#000 1px solid; border-left:#000 1px solid;">&nbsp;</td><td style="border-right:#000 1px solid; border-bottom:#000 1px solid;">&nbsp;</td><td style="border-right:#000 1px solid; border-bottom:#000 1px solid;">&nbsp;</td></tr>
				</table>
			</td>
			<td>&nbsp;</td>
			<td valign="bottom">
				<table style="border:#000 1px solid;" cellpadding="0" cellspacing="0">
					<tr>
						<td colspan="2" style="font-size:10px; text-align:center; border-right:#000 1px solid; border-bottom:#000 1px solid; padding:2;">Posted by:</td>
						<td colspan="2" style="font-size:10px; text-align:center; border-bottom:#000 1px solid; padding:2;">Reviewed by:</td>
					</tr>
					<tr>
						<td style="font-size:9px; text-align:center; border-right:#000 1px solid; border-bottom:#000 1px solid; padding:2;">Initial</td>
						<td style="font-size:9px; text-align:center; border-right:#000 1px solid; border-bottom:#000 1px solid; padding:2;">Date</td>
						<td style="font-size:9px; text-align:center; border-right:#000 1px solid; border-bottom:#000 1px solid; padding:2;">Initial</td>
						<td style="font-size:9px; text-align:center; border-bottom:#000 1px solid; padding:2;">Date</td>
					</tr>
					<tr>
						<td style="font-size:9px; text-align:center; border-right:#000 1px solid; padding:2;">&nbsp;</td>
						<td style="font-size:9px; text-align:center; border-right:#000 1px solid; padding:2;">&nbsp;</td>
						<td style="font-size:9px; text-align:center; border-right:#000 1px solid; padding:2;">&nbsp;</td>
						<td style="font-size:9px; text-align:center; padding:2;">&nbsp;</td>
					</tr>
					<tr>
						<td style="font-size:9px; text-align:center; border-right:#000 1px solid; padding:2;">&nbsp;</td>
						<td style="font-size:9px; text-align:center; border-right:#000 1px solid; padding:2;">&nbsp;</td>
						<td style="font-size:9px; text-align:center; border-right:#000 1px solid; padding:2;">&nbsp;</td>
						<td style="font-size:9px; text-align:center; padding:2;">&nbsp;</td>
					</tr>
					<tr>
						<td style="font-size:9px; text-align:center; border-right:#000 1px solid; padding:2;">&nbsp;</td>
						<td style="font-size:9px; text-align:center; border-right:#000 1px solid; padding:2;">&nbsp;</td>
						<td style="font-size:9px; text-align:center; border-right:#000 1px solid; padding:2;">&nbsp;</td>
						<td style="font-size:9px; text-align:center; padding:2;">&nbsp;</td>
					</tr>
				</table>
			</td>
		</tr>
	</table>
	<table cellpadding="0" cellspacing="2">
		<tr>
			<td style="font-size:10px; font-weight:bold; width:600px;">NOTE: Please fill out form completely and attach necessary supporting documents, if any.</td>
			<td style="font-size:9px; text-align:center; font-style:italic; font-weight:bold;">RFD Revised 04.02.08&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;RRD</td>
		</tr>
	</table>

</div>